EMERALD GLEN MANAGMENT NPI 1093900425

NPI Information

  • NPI: 1093900425
  • Provider Name: EMERALD GLEN MANAGMENT
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 605 DEWEY ST
    GREENVILLE, IL
    ZIP 62246
  • Phone: (618) 664-9012

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NPI Details

EMERALD GLEN MANAGMENT is an assisted living facility in Greenville, IL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. EMERALD GLEN MANAGMENT NPI is 1093900425. The provider is registered as an organization entity type.

The provider's business location address is:

605 DEWEY ST
GREENVILLE, IL
ZIP 62246-296
Phone: (618) 664-9012

The provider's authorized official is Shelley C Nuelle .
The authorized official title is Director Of Operations and has the following contact phone number (217) 821-9539.

The enumeration date for this NPI number is 9/10/2007 and was last updated on 9/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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